Wanda L Williams (NPI# 1720212350, PAC ID# 1355592916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720212350 |
| PAC ID by PECOS | 1355592916 |
| Professional Enrollment ID | I20171115003278 |
| Full Name | Wanda L Williams |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Address |
4800 E Johnson Ave Jonesboro AR 72401-8413 |
| Phone Number | 8709360140 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2961547526 |
| Number of Group Practice Members | 223 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| 040069 | GREAT RIVER MEDICAL CENTER |
| 040047 | FIVE RIVERS MEDICAL CENTER |
| 041316 | SOUTH MISSISSIPPI COUNTY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 8709360140 | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Physicians | 205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent A Davis | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 516 Industrial Park Dr, Trumann, AR 72472-9602 |
| Zuag Yang | Physician Assistant | Northeast Arkansas Clinic Charitable Foundation, Inc. | 1111 Windover Rd, Nea Baptist Clinic Windover, Jonesboro, AR 72401-6159 |
| Ana Milosevic Michunovich | Physical Medicine and Rehabilitation | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Kimberly M Crosskno | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 616 W Keiser Ave, Nea Baptist Clinic Osceola, Osceola, AR 72370-3504 |
| Neal E Tice | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 909 Enterprise Dr, Nea Baptist Clinic, Jonesboro, AR 72401-9201 |
| Steven D Vanderbilt | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 2205 W Parker Rd, Nea Baptist Clinic Woodsprings, Jonesboro, AR 72404-7778 |
| Natalie N Martin | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 102 W Smith, Nea Baptist Clinic Brookland, Brookland, AR 72417-0248 |
| Jennifer L Crisp | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 305 W Main St A, Nea Baptist Clinic Trumann, Trumann, AR 72472-3114 |
| Garrett T Wray | Nurse Practitioner | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4700 W Kingshighway, Nea Baptist Clinic Paragould, Paragould, AR 72450-3465 |
| Meghan Lindsay Lyerly | Family Medicine | Northeast Arkansas Clinic Charitable Foundation, Inc. | 8170 Hwy 49 N, Brookland, AR 72417-8992 |
| Street Address |
4800 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip | 72401-8413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin A Vaughn | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Jarryd A Dempsey | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Ernest James Mcclinton Iii | Emergency Medicine | Southeastern Emergency Physicians LLC | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Michael E Davison | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Oksana Redko | Anesthesiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Laura A Ferguson | Certified Registered Nurse Anesthetist (crna) | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Nea Baptist Memorial Hospital, Jonesboro, AR 72401-8413 |
| Justin K Martin | Occupational Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Christopher M Bruno | Diagnostic Radiology | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Daniel A Craven Jr. | Diagnostic Radiology | Mid South Imaging and Therapeutics Pa | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Jacob Jones | Physical Therapy | Northeast Arkansas Clinic Charitable Foundation, Inc. | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JONESBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wanda L Williams.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.